Claim

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Insurance Claim Process

You can intimate SUD Life about the claim (along with the mandatory documents) through following modes:

  • 1. Online (Click here)
  • 2. Visiting SUD Branch (Click here to locate nearest branch)
  • 3. Call: On 1800-266-8833 between 09:00 am to 07:00 pm Monday to Saturday
  • 4. Email: customercare@sudlife.in
  • 5. Courier: Star Union Dai-ichi Life Insurance Company Limited, 11th Floor, Vishwaroop I.T Park, Plot No. 34, 35 & 38,
  •     Sector: 30A of IIP, Vashi, Navi Mumbai – 400 703
The claims department at SUD Life would review the claim documents you have sent and in case of requirement, we may call you for pending mandatory documents & additional listed documents. The claimant would be kept updated about the status of his/her claim throughout the process. Alternately, a unique claims reference no. will be sent to the claimant, which will enable him/ her to track the status of their claims on our website.
All claims will be assessed based on claim documents submitted and information of the life assured provided to us in the proposal form. Once a decision is taken, SUD Life will send a written communication to the claimant, informing him/her about the decision of the claim, along with details of the payment made through electronic fund transfer (NEFT).

Turnaround time for Death and Health claims decision as mandated by Insurance Regulation and Development Authority of India (IRDAI):

Type of claim Death Claims Health Claims
Raising claim requirement Within 15 days of receipt of claim Within 15 days of receipt of claim
Settlement or rejection or repudiation of claim, where investigation is not required Within 30 days from the date of receipt of last necessary document Within 30 days from the date of receipt of last necessary document
Settlement or rejection or repudiation of claims wherein investigation is required Investigation should be completed within 90 days from date of receipt of claim intimation and claim to be settled within 30 days thereafter Investigation should be completed within 30 days from date of receipt of last necessary document and claim to be settled within 45 days from the date of receipt of last necessary document

Required Documents

Documents for Death Claim

Documentation Individual Life PMJJBY Group Term Employer-Employee Group Credit Life CASA
Completely filled & signed Claim Intimation form with nominee consent Yes No Yes Yes Yes
PMJJBY Claim Intimation Form including discharge voucher duly signed and stamped by Bank No Yes No No No
Loan Account statement No No No Yes No
Original Death Certificate / Attested copy of death certificate Yes Yes Yes Yes Yes
Copy of ID & Address proof of nominee Yes Yes Yes Yes Yes
Copy of Bank passbook OR cancelled cheque of nominee Yes Yes Yes Yes Yes
Bank a/c statement of Life Assured showing the Insurance Premium Debit. No Yes No No Yes
Copies of First Information Report, Post Mortem Report, Panchnama, duly attested by police officials, in case of unnatural deaths including accidents, murder, suicide etc. Yes Yes Yes Yes Yes
Copy of Hospitalization documents (discharge summary, all investigation/diagnosis reports) in case the Member was treated for any illness related to the cause of death Yes Yes Yes Yes Yes
Any other document or information that we may need to process the claim depending on the cause or nature of the claim Yes No Yes Yes Yes

Documents for Health Claim

Documentation Critical Illness Disability COVID Rider
Diagnostic report confirming CI Yes No No
LA ID Proof Yes Yes Yes
LA Address Proof Yes Yes Yes
Printed LA Bank Passbook Yes Yes Yes
Disability certificate No Yes No
First Information Report No Yes No
Hospital Discharge Summary Yes Yes Yes
COVID lab test report No No Yes
Nominee ID Proof* Yes Yes Yes
Nominee Address Proof* Yes Yes Yes
Printed Nominee Bank Passbook* Yes Yes Yes
Copy of Hospitalization documents (discharge summary, all investigation/diagnosis reports) in case the Member was treated for any illness related to the cause of death Yes No Yes
Any other document or information that we may need to process the claim depending on the cause or nature of the claim Yes Yes Yes

*If Life Assured is not alive

Form Download

Claimant’s Statement duly filled and signed by Nominee/Appointee: Form A (Only to be used for Critical illness/disability)

Download

Individual Death Claim Form

Download

Critical Illness Claim Form (Health Claim)

Download

APS-Chronic Lung Disease

Download

APS-End Stage Liver Disease

Download

APS-Open Heart Replacement or Repair of Heart Valves

Download

Attending Physicians Statement (Doctor)- General

Download

CI-APS-Cancer

Download

CI-APS-Coronary Artery By-Pass Surgery & Angioplasty

Download

CI-APS-Heart Related (Final)

Download

CI-Heart Related (to be filled by LA)

Download

Diabetes Questionnaire- LA

Download

Hypertension Questionnaire - LA

Download

Tobacco_Questionnaire

Download

PMJJBY Claim cum Advance Discharge Form

Download

FAQ's

1. To whom will the death claim amount be paid?

The claim money will be paid to the beneficiary who is the nominee/assignee/appointee (in case of a minor) as mentioned by the life assured in the application form.


2. How can I intimate a claim to SUD Life?

You can intimate us through any of the following means:


3. What is the time frame within which the claim must be reported to the Company?

A claim must be reported as soon as possible to enable the Company to effectively assess and process the same.


4. Is NEFT mandatory for death claims?

  • • As per the IRDAI circular no. IRDA/F&A/CIR/GLD/056/02/2014 dated February 13, 2014, all payouts made to customers need to be in the electronic form.
    Hence, NEFT details of the claimant are mandatory to process the claim payouts.
  • • NEFT payments would be made only in Indian saving bank accounts or NRO accounts.
  • • Cheque would be issued if payment has to be deposited in NRE account

5. What is the maximum processing timeline prescribed by Insurance Regulatory Development Authority of India (IRDAI)?

Particulars Times lines for settlement of Claims
Death claim, except in cases warranting investigation Within 15 days from intimation of the claim*
Death claim warranting investigation Within 45 days from intimation of the claim*
Health Claim Within 15 days from intimation of the claim*

*Intimation means receipt of complete documents required as per the list provided on the website


6. What is the grievance mechanism available if i am not satisfied with the claim decision?

The customer can contact us on the below mentioned address in case of any complaint/grievance:

Claims Review Committee, Star Union Dai-ichi Life Insurance Company Limited, 11th Floor, Vishwaroop I.T Park, Plot No. 34, 35 & 38, Sector: 30A of IIP, Vashi, Navi Mumbai – 400 703

If you are still not satisfied with the response provided by the Claims Review Committee, you could also approach the Insurance Ombudsman in your region.


7. How will I know that a claim is registered?

Sud Life will send an acknowledgement letter within 15 days of receiving the documents. The company will also send you a unique reference no. To track the status of your claims on our website. In case there are any further requirements, the same will be intimated via letter, e-mail on your registered address and SMS on claimant’s mobile number.


8. What if the NEFT payment made by SUD Life is rejected by the bank?

A letter will be sent to the claimant informing them of the NEFT failure. The payment will be processed on receipt of the fresh NEFT mandate along with the account proof.


9. When is a claim repudiated?

A claim is repudiated if 'non-disclosure' or 'misstatement' of facts is discovered during an investigation. When a fact that affects the policy issuance decision is not disclosed in the proposal, it is termed as, 'non-disclosure'. Similarly, withholding information or providing incorrect information while answering questions in the proposal form is termed as, 'misstatement'.

For example, when an applicant suffering from liver failure does not inform the insurer about the same in the proposal form, it is termed as non-disclosure. Similarly, when an applicant overstates his or her income, then it is called a misstatement.


10. What happens if there is no nomination on death of the life assured or pre-deceased nominee at the time of death claim?

In such circumstances, we would require the proof of title/succession certificate issued by a competent court. The claim would then be paid to the person specified in the said proof.


11. Why is it essential to submit all the records/documents as required by the company?

All claims are examined and settled by the company based on information present in documents submitted by you in connection with the claim. It is advisable to provide complete information to us for faster and smoother claims processing

Your concerns regarding the decision of claim

SUD Life has a Claims Review Committee consisting of functional heads of various departments of the company. This committee is chaired by our Deputy CEO and an external member, who is a retired judge of the Bombay High Court.

If you do not agree with the claim decision, you can send a letter addressed to the Committee at the address given below:

Claims Review Committee

Star Union Dai-ichi Life Insurance Company Limited
11th Floor, Vishwaroop I.T Park,
Plot No. 34, 35 & 38, Sector: 30A of IIP,
Vashi, Navi Mumbai – 400 703

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